Tramadol-Acetaminophen Oral

In Depth

Generic Name: TRAMADOL/ACETAMINOPHEN - ORAL
Pronounced: (TRAH-muh-dall/uh-seet-uh-MEE-no-fen)

Tramadol-Acetaminophen Oral Side Effects

Drowsiness, constipation, upset stomach, nausea, diarrhea, dizziness, headache, or dry mouth may occur. If any of these effects persist or worsen, notify your doctor.

Remember that your doctor has prescribed this medication because he or she has judged that the benefit to you is greater than the risk of side effects. Many people using this medication do not have serious side effects.

Tell your doctor immediately if any of these unlikely but serious side effects occur:

mental/mood changes (e.g., nervousness, anxiety, irritability, confusion)
trouble sleeping
muscle weakness
shaking (tremor)
uncoordinated movements
hot flashes
loss of appetite
vomiting
unusual weight loss
increased sweating
trouble urinating (males only)

Tell your doctor immediately if any of these rare but very serious side effects occur:

fast/pounding/irregular heartbeat
severe headache
blurred vision
fainting
trouble swallowing
ringing in the ears
black stools
vomit that looks like coffee grounds
hallucinations
seizures

If you do not have liver problems, the adult maximum dose of acetaminophen is 4 grams per day (4000 milligrams). If you take more than the maximum daily amount, it may cause serious (possibly fatal) liver disease. Tell your doctor immediately if you have any of the following symptoms of liver damage:

stomach/abdominal pain
severe nausea
yellowing eyes/skin
dark urine
extreme tiredness

If you have liver problems, consult your doctor or pharmacist for a safe dosage of this medication.

A very serious allergic reaction to this drug is unlikely, but seek immediate medical attention if it occurs. Symptoms of a serious allergic reaction may include: